Multiplatform web app (My Way Up) plus motivational interviewing for improving treatment retention in patients with onset of alcohol-related liver disease and alcohol use disorder - an example of participatory research
Caballeria, Elsa (Universitat de Barcelona)
Balcells-Oliveró, Mercè (Universitat de Barcelona)
Bataller, Ramón (Universitat de Barcelona)
Bruguera, Pol (Universitat de Barcelona)
Cabrera, Noel (Hospital Clínic i Provincial de Barcelona)
Estruch, Alexandra (Cookie Box (Barcelona))
Freixa, Neus (Universitat de Barcelona)
Garcia-Pañella, Óscar (Universitat de Barcelona)
Graell, Mireia (Universitat de Barcelona)
Gratacós-Gines, Jordi (Universitat de Barcelona)
Guzman, Pablo (Universitat de Barcelona)
Hernández-Rubio, Anna (Universitat Autònoma de Barcelona. Departament de Medicina)
Lligoña, Anna (Universitat de Barcelona)
Pérez-Guasch, Martina (Universitat de Barcelona)
Pons-Cabrera, María Teresa (Universitat de Barcelona)
Pose, Elisa (Universitat de Barcelona)
Zuluaga Blanco, Yenny Paola (Institut Germans Trias i Pujol. Hospital Universitari Germans Trias i Pujol)
López-Pelayo, Hugo (Universitat de Barcelona)

Data:	2024
Resum:	Background: With the aim of improving treatment retention in patients with the onset of alcohol-related liver disease (ArLD), we designed a blended intervention (brief motivational intervention + 'serious game' (SG)). We present the participatory design methodology and outcomes and the usability assessment of the intervention. Methods: (1) The design of the SG was based on the outcomes of two 3-h co-creation sessions with 37 participants (healthcare and technology professionals, patients, and patients' relatives). The brief face-to-face motivational intervention was based on the 5 As Model and adapted to the ArLD population. (2) Usability pilot study: 20 participants (10 ArLD patients + 10 healthcare professionals) received the intervention. System Usability Scale (SUS) and Post-Study System Usability Questionnaire (PSSUQ) were applied to assess the SG usability and patients' satisfaction with it. Weekly semi-structured interviews on the phone were conducted to identify the preferred elements in the SG and those aspects that should be improved. Results: (1) Design: an SG in the form of a gamified web app, consisting of a daily activity for six weeks and adapted brief motivational interviewing. (2) Usability pilot study: usability results were excellent for both patients and healthcare professionals (SUS median score = 85). The general usability, the quality of the information provided by the SG and the quality of the interface were very positively rated in the PSSUQ (overall median score = 2, IQR = 1-2). The best-rated aspects were the provision of feedback, the use of metaphors and the application of audiovisual material. Changes in the design, response mechanics and content were applied after the study. Conclusions: The usability and acceptability of an intervention for increasing retention to treatment in patients with recent onset of ArLD and AUD were excellent for patients and healthcare professionals. A randomized-controlled trial is required to test the efficacy of this approach.
Ajuts:	Instituto de Salud Carlos III PI20/00760
Nota:	We are grateful to all participants. The project is supported by a grant from the Instituto de Salud Carlos III (ISCIII) and co-funded by the European Union.
Nota:	We are grateful to all participants. The project is supported by a grant from the Instituto de Salud Carlos III (ISCIII) and co-funded by the European Union. The authors disclosed receipt of the following financial support for the research, authorship, and/or publication of this article: This project (PI20/00760) was funded by the Instituto de Salud Carlos III (ISCIII) and co-funded by the European Union.
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Llengua:	Anglès
Document:	Article ; recerca ; Versió publicada
Matèria:	Digital health ; Adherence ; Retention to treatment ; Alcohol use disorder ; Alcohol liver disease ; Serious games ; MI
Publicat a:	Digital Health, Vol. 10 (1-12 2024) , ISSN 2055-2076

DOI: 10.1177/20552076241242787
PMID: 38715972

14 p, 783.3 KB

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